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728 Selva Lakes Cir FNCE20-0096 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP: SANCHEZ ERICA SCHUSTER 728 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4368 COMPANY:ADDRESS:CITY:STATE:ZIP: Big Jerry's Fencing 12620 Beach Boulevard #3-131 Jacksonville FL 32246 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172027 5846 SELVA LAKES UNIT 03 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 728 SELVA LAKES CIR FENCE WALL OR BARRIER FENCE FENCE $2462.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container cannot be placed on City right-of-way. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 9/17/2020 PERMIT NUMBER FNCE20-0096 ISSUED: 9/17/2020 EXPIRES: 3/16/2021 FENCE WALL OR BARRIER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $81.50 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. 6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 2Issued Date: 9/17/2020 PERMIT NUMBER FNCE20-0096 ISSUED: 9/17/2020 EXPIRES: 3/16/2021 FENCE WALL OR BARRIER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $81.50 FNCE20-0096 Address: 728 SELVA LAKES CIR APN: 172027 5846 $81.50 BUILDING $35.00 FENCE 455-0000-322-1000 0 $35.00 BUILDING PLAN REVIEW $17.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R13303 $81.50 Printed: Thursday, September 17, 2020 2:48 PM Date Paid: Thursday, September 17, 2020 Paid By: SANCHEZ ERICA SCHUSTER Pay Method: CREDIT CARD 362896842 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R13303 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: _______________________________________________________ Permit Number: ____________________________ Legal Description ________________________________________________________________ RE# _________________________ Valuation of Work (Replacement Cost) $_________________ Heated/Cooled SF ___________ Non- Heated/Cooled_____________  Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door  Use of existing/proposed structure(s): □Commercial □Residential  If an existing structure, is a fire sprinkler system installed?: □Yes □No  Will tree(s) be removed in association with proposed project? □Yes (must submit separate Tree Removal Permit) □No Describe in detail the type of work to be performed: Florida Product Approval #______________________________________________ for multiple products use product approval form Property Owner Information Name ______________________________________________ Address _________________________________________________ City ____________________________________ State _______ Zip _______________ Phone ________________________________ E-Mail ______________________________________________________________________________________________________ Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _________________________________________________ Contractor Information Name of Company _______________________________________ Qualifying Agent _______________________________________ Address________________________________________________ City___________________ State ________ Zip_______________ Office Phone ____________________________________ Job Site Contact Number _______________________________________ State Certification/Registration # ____________________ E-Mail_______________________________________________________ Architect Name & Phone # ______________________________________________________________________________________ Engineer’s Name & Phone # _____________________________________________________________________________________ Workers Compensation Insurer _____________________________________ OR Exempt □ Expiration Date ___________________ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. OWNER’S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ___________________________________________________ (Signature of Owner or Agent) Signed and sworn to (or affirmed) before me this ____ day of ___________, ________, by ____________________________ ________________________________ (Signature of Notary) [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________ ___________________________________________________ (Signature of Contractor) Signed and sworn to (or affirmed) before me this ____ day of ___________, ________, by ____________________________ ________________________________ (Signature of Notary) [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________ **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Big Jerry's Fencing 12620 Beach Blvd, Ste 3-131 Jacksonville FL 32246 Jon Davis 904-476-2528 904-476-2528 N/A Jon@BigJerrysFencing.com 2/13/22 Fence installation as shown on attached sketch Atlantic Beach FL 32233 728 Selva Lakes Cir, Atlantic Beach, FL White vinyl fence installtaion 2462 172027 5846 Erica Schuster 728 Selva Lakes Cir 904-349-8784 erica7886@gmail.com FNCE20-0096 Building Permit Application Kr`C"'r" By Toni Gindlesperger at 4:03 pm, Sep 10, 20 City of Atlantic Beach Building Department ALL INFORMATION J 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Ft 9r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 728 Selva Lakes Cir,Atlantic Beach, FL Permit Number: FNCE20-0096 Legal Description White vinyl fence installtaion RE# 172027 5846 Valuation of Work(Replacement Cost)$2462 Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition Alteration DRepair Move [Memo Pool Window/Door Use of existing/proposed structure(s): Commercial Residential If an existing structure, is a fire sprinkler system installed?: DYes No Will tree(s) be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: Fence installation as shown on attached sketch Florida Product Approval# for multiple products use product approval form Property Owner Information Name Erica Schuster Address 728 Selva Lakes Cir City Atlantic Beach State FL Zip 32233 Phone 904-349-8784 E-mail erica7886@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Big Jerry's Fencing Qualifying Agent Jon Davis Address 12620 Beach Blvd,Ste 3-131 City Jacksonville State FL Zip 32246 Office Phone 904-476-2528 Job Site Contact Number 904-476-2528 State Certification/Registration# N/A E-mail Jon@BigJerrysFencing.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt el Expiration Date 2/13/22 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts, state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO7BTAIN FIN ' NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY YOU INvz7. ! ' G YO R NOTIC OF COMMENCEMENT. s 1 :I. S; e ofOwner or Agent) Signature of Contractor) ned a d sworn to(or of it ed) before this l day f ,ted a d sworn to(or aff r d) before met • i ( day of Sita - 19— C(Signatu IP:* .• 1 \) Ale e••4,.. TONI GINDIi. ;'t_:' ER , l :,; MY COh1N.'S + TONI GINDLESPERGER Personally Known OR it:: ,f,. 53178 Personally Kno . c EXPIRES p air *. t MY COMMISSION#GG 353178 Produced Identification f''••Core 23 Produced Identi, ioc, :*i EXPIRES:October 6,2023EonEadTlv r .n Type of Identification:denrrtters Type of Identificati• :"-e•-...7-•:6'7-:•••